Resources

Clinical Resources

Click here to access the list of tests and treatments commonly used that are not supported by evidence, and/or could expose patients to unnecessary harm, as developed by Canadian national societies representing a broad spectrum of clinicians.

Success in getting patients on board with evidence based investigations and treatments, and avoiding unnecessary over prescribing and tests begins with a good conversation. These video links can help you get started.

Click here to access a toolkit for primary care providers on Implementing Health Checks for Adults with Developmental Disabilities.

 

Click Here to access Dr. Roberto Mendoza's presentation to the Primary Care Network on Ehlers-Danlos Syndromes for primary care providers. Dr. Mendoza is the Medical Director-EDS service at Hospital for Sick Children/UHN and Interim Division Head, Genetics at HSC.

Poverty: A Clinical Tool for Primary Care

Poverty requires intervention like other major health risks: The evidence shows poverty to be a risk to health equivalent to hypertension, high cholesterol, and smoking. We devote significant energy and resources to treating these health issues. Should we treat poverty like any equivalent health condition? Of course. Learn more about ways to address poverty in primary care here: Poverty - A Clinical Tool for Primary Care

Health Line – A Directory of Social Supports and Resources in the Mississauga Halton Region

Medical Office Staff Resources - Mississauga Halton Health Line

ADL Assessment

Activities of Daily Living Template

 

 

The MAID Tool, available from the Centre for Effective Practice,  is intended to provide additional guidance to clinicians on MAID provision and process. The tool may be directly accessed through the following link: https://thewellhealth.ca/maid/

Clinitian Aids:

Clinitian Aid A: Patient Request

Clinitian Aid B: Primary Medical Practitioner MAID Aid

Clinitian Aid C: Secondary Medical Practitioner MAID Aid (002)

Dr. Bill Wong's presentation to the Primary Care Network, April 18, 2017: MAID_PCN2017

Mental Health Collaborative

This mental health collaborative resource has a plethora of resources for child and adolescent mental health issues such as screening questionnaires and treatment guidelines.

one-Link

One-Link is a single point of access for referrals to 10 Addiction and Mental Health Service Providers funded by the Mississauga Halton Local Health Integration Network.

One-Link enables coordinated, equal access to make it possible for clients and families to receive the right care, at the right time and in the right place. By eliminating the guesswork and confusion about where one should go, the one-Link referral process will make it easier for people to get to the right service provider and allow for supports when there is a wait time.

Referrals can be faxed to 905-338-2878 from any primary care physician whose practice or client resides within the Mississauga Halton LHIN boundaries.

One-Link Referral (Fillable)
One-Link Referral - Eating Disorders (Fillable)

For more information or to register, please call: 1-844-216-7411 (toll free)

Psychiatry in primary care 

Psychiatry in Primary Care is intended to meet some of those needs in a practical and actionable way. It minimizes dry information about etiology and pathogenesis to focus on what primary care health professionals can ask, do, and recommend. Click here to access the resource.

Managing CV Risk While On Anti-Psychotics

Cardiometabolic Risk Management
Cardiometabolic Risk Management Part 2

From the Early Psychosis Intervention Ontario Network (EPION)

List of metabolic tools/resources for professionals: http://help4psychosis.ca/tools-and-resources/metabolic-monitoring-tool/ 

Specific Antipsychotics and Cardio metabolic-Risk-Management Tool

http://help4psychosis.ca/wp-content/uploads/2015/08/Cardiometabolic-Risk-Management-Tool.pdf 

Ottawa Depression Algorithm

http://www.ottawadepressionalgorithm.ca/en/start

 

 

The Mississauga Halton LHIN Home and Community Care provides a variety of home and community-based services to help patients with acute or chronic conditions.

The team of professionals includes nurses, occupational therapists, physiotherapists, dietitians, speech language pathologists, social workers and personal support workers. Care may be provided in the home, in a clinic setting or at an alternative community service

How do I refer a patient to Home and Community Care?

  • Call 310-2222 (no area code required)
  • Complete and fax referral form below to 905-855-8989 or 1-877-298-8989

To find out more about how the Mississauga Halton LHIN Home and Community Care can help your patients and physician OHIP billing codes, click here.

Epilepsy

A new resource available for Primary Care Providers has just been released regarding patients with medically-refractory epilepsy by Critical Care Services Ontario. The document provides an approach to the management of patients with medically-refractory epilepsy in whom surgical treatment is not an option, including evidence-based treatment such as pharmacotherapy, ketogenic diet and neurostimulations.

Click here to view the document: Provincial Guidelines for Management of MRE in Adults and Children who are not candidates for Surgery

To view epilepsy quick facts and the surgery patient pathway, click here: Epilepsy Snapshot-Provincial Guidelines for Management of MRE in Adults and Children who are not candidates for Surgery

 

 

kidFIT KidFit is a paediatric health and wellness clinic available for children who are between the ages of 2-17 and have a BMI of greater than, or equal to the 95 percentile (CDC Growth Chart) or 97th (Growth Chart of Canada).

Palliative Care Toolbox 

Click here for a combination of best practice tools, local forms and resources in navigating the provision of palliative care, with links to best practices tools and local resources.

Advanced Practice Nurses/Nurse Practitioners Care Program

Eligibility Criteria: Patients with palliative care needs regardless of diagnosis and prognosis (Patient can be on community or palliative caseload)

APN/NP can assist the primary care team with:

  • Complex or refractory pain and symptom psychosocial management (e.g. pain, nausea, dyspnea, anxiety)
  • Complex needs of patients and their family during life transitions
  • Address end-of-life planning, hospice, transition and patient focus

APN-NP Palliative Care Referral Form

Mississauga Halton Hospice Palliative Care

Click here for more information on palliative and hospice resources within the Mississauga Halton region

Mississauga Halton and Central West Palliative Care

Click here for more information on Palliative Care within the Mississauga Halton and Central West regions

Residential Hospices in the region

Hospice Palliative Care Ontario

Click here to learn more about Hospice Palliative Care Ontario

OHIP Payments for Palliative Care Services

Pallium Canada - Interprofessional education in palliative and end-of-life care

 

 

Pain

    • The National Pain Centre has put together an approach to Chronic Pain Management to help physicians manage this sometimes challenging area of medicine. Included are guidelines and resources on initiating, monitoring, contracting when using opioids to manage pain.

    • Patient empowerment in management of their chronic pain and responsible opioid use may benefit from the use of the My Opioid ManagerTM that patients can download on their devices.

    • For those wishing to expand their internal expertise on chronic pain management through a multi-disciplinary expert panel with case-based learning, project ECHO conducts 12 weeks, CME applicable learning modules several times throughout the year.

Back Pain

Using the biopsychosocial model in everyday practice: Family Practice Rounds - ABC Psychiatry

Coping Strategies & Crisis Planning: Family Pracitce Rounds - Coping

Halton Healthcare Outpatient Psychiatry

Public Health provides timely, accurate and relevant public health information (medical advisories, news, and alerts) as well as services to assist physicians.

Public Health Information for Physicians

Physician Update Memos

 

 

 

The Ontario Renal Network’s KidneyWise Clinical Toolkit

The KidneyWise Clinical Toolkit is available for primary care providers to support the care of patients with suspected or chronic kidney disease. Visit kidneywise.ca to access the toolkit and download the mobile app for iPhone and Android. The toolkit includes:

  • An evidence-based clinical algorithm that helps identify and manage chronic kidney disease.
  • An evidence summary, offering further clinical detail regarding the algorithm content.
  • An Outpatient Nephrology Referral Form for PCPs outlining scenarios that would require consultation with a nephrologist. 

The app can also be integrated into EMR systems using this link: https://kidneywise.renalnetwork.on.ca.

  • REACT: Cancer patients who are experiencing complications within 30 days of their treatment now have an alternate to visiting the emergency department at Credit Valley Hospital. In November 2015, Trillium Health Partners opened a new REACT (rapid evaluation and assessment of cancer treatment) clinic in the Chemotherapy Clinic at The Carlo Fidani Regional Cancer Centre at Credit Valley Hospital.

  • Partner Hospital Programs in the region

Trillium Health Partners Oncology Program
Halton Health Services Oncology Program

Tool Kits

The Regional Cancer program has developed easy to access information from screening to treatment and survivorship or palliative care. View this cheat sheet for referral criteria help: DAP Referral Criteria and Cheat Sheet

  • Referral Forms
  • Prevention Toolbox
  • Screening Toolbox
  • Diagnostic Toolbox
  • Treatment Toolbox
  • Survivorship Toolbox
  • Palliative Care Toolbox

Click here to learn more. 

  • Osteoporosis

Osteoporosis Canada has compiled the latest guidelines for osteoporosis diagnosis, prevention and treatment in multiple media formats including videos, slide decks and handouts useful for primary care, as well as a quick office reference guide.

There is also a handy reference guide for your patients around exercise in prevention and after diagnosed with osteoporosis.

  • Falls Prevention

This quick algorithm helps you screen and do an initial assessment of patients at risk for falls. 

The Mississauga Halton LHIN, in partnership with Acclaim Health and Bayshore Therapy & Rehab provides FREE exercise, falls prevention and osteoporosis programs. Call this self-referral number for more information or to register for a class: 1-877-696-1620.

For more Prescription for Healthy Living tear off pads, please contact your Primary Care Advisor.

  • Adult Day Programs

Adult Day Programs provide interesting activities in the community for people with physical or cognitive challenges, as well as people with Alzheimer's disease and related dementias. The programs offer care staff relief, social opportunities and the goal of maintaining function.

Call the Mississauga Halton CCAC at 310-2222 (no area code required) to be referred to your choice program.  

MH CCAC Medical Referral Form

  • Continence Clinic

Learn more about continence clinics through this Continence Clinic Brochure.